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Georgalas, Christos et al.: 2022 The Frontal Sinus DOI: 10.1055/b-0042-184508
Section II Endoscopic Surgical Approaches to Frontal Sinus Disease

9 Transseptal Approach

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Editors: Georgalas, Christos; Sama, Anshul

Authors: Abuzeid, Waleed M.; Adappa, Nithin D.; Ahmed, Shahzada; Alasousi, Fahad; Alobid, Isam; Al-Rasheed, Abdulaziz; Alt, Jeremiah A.; Avdeeva, Klementina; Banks, Catherine; Barnes, Martyn; Basak, Hazan; Batra, Pete S.; Battaglia, Paolo; Bernal-Sprekelsen, Manuel; Beton, Suha; Brand, Yves; Breedveld, Paul; Briner, Hans Rudolf; von Buchwald, Christian; Carrau, Ricardo L.; Carrie, Sean; Castelnuovo, Paolo; Chatzinakis, Vasileios; Chen, Philip A.; Chute, Deborah; Clarke, Caroline S.; Conley, David B.; Constable, James; Craig, John R.; Dadgostar, Anali; Dallan, Iacopo; DelGaudio, John M.; Diamantopoulos, Ioannis I.; Badawey, M Reda El; Eloy, Jean Anderson; Fakhri, Samer; Fastenberg, Judd H.; Fazio, Enrico; Felding, Ulrik A.; Fried, Marvin P.; Getz, Anne E.; Ghogomu, Nsangou; Gotlib, Tomasz; Gudis, David A.; Hadjihannas, Edward; Harvey, Richard J.; Herman, Philippe; Hettige, Roland; Hopkins, Claire; Husain, Qasim; Ioannidis, Dimitris; Jankowski, Roger; Javer, Amin; Jeyarajan, Hari; Kanumuri, Vivek V.; Karligkiotis, Apostolos; Kern, Robert C.; Khoueir, Nadim; Jankowski, Roger; Javer, Amin; Jeyarajan, Hari; Kanumuri, Vivek V.; Karligkiotis, Apostolos; Kern, Robert C.; Khoueir, Nadim; Maza, Guillermo; McHugh, Kelsey; Meço, Cem; Mencacci, Lodovica Cristofani; Morris, Stephen; Morrissey, David; Nair, Salil; Narayanan, Prepageran; Orlandi, Richard R.; Palmer, Charles F.; Palmer, James N.; Parasher, Arjun K.; Patel, Zara M.; Pfisterer, Michael J.; Philpott, Carl M.; Pietrobon, Giacomo; Polev, Georgiy A.; Prevedello, Daniel M.; Psaltis, Alkis J.; Ramakrishnan, Yujay; Rokade, Ashok; Roxbury, Christopher; Sacks, Raymond; Sansoni, E. Ritter; Santamaría-Gadea, Alfonso; Schlosser, Rodney J.; Seccia, Veronica; Sindwani, Raj; Smith, Kristine A.; Speleman, Kato; Subramaniam, Soma; Šurda, Pavol; Tajudeen, Bobby A.; Tan, Neil Cheng-Wen; Tang, Dennis; Tang, Ing Ping; Tarabichi, Osama; Tewfik, Marc A.; Tipirneni, Kiranya E.; Turri-Zanoni, Mario; Walters, Benjamin K.; Woodworth, Bradford A.; Wormald, Peter John; Youssef, Ahmed

Title: The Frontal Sinus

Subtitle: Surgical Approaches and Controversies

Print ISBN: 9783132400528; Online ISBN: 9783132437845; Book DOI: 10.1055/b-006-163737

1. Edition © 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG, Stuttgart

Subjects: Otorhinolaryngology, Phoniatrics, Audiology

Thieme Clinical Collections (English Language)



 
Bobby A. Tajudeen and Pete S. Batra

Abstract

The transseptal frontal sinusotomy (TSFS) utilizes the unique relationship of the nasal septum to the medial frontal sinus floor and allows for entry into the midline frontal sinus floor where the bone is thinnest. This technique is especially advantageous in the cases of extensive neo-osteogenesis that preclude identification and cannulation of the frontal recess. Similar to the Draf III and the endoscopic modified Lothrop procedure, TSFS provides good access to the midline frontal sinus floor and permits but does not require intersinus septum removal. 1 , 2 In addition, TSFS offers several theoretical advantages over frontal sinus obliteration including decreased morbidity, improved cosmesis, and ease of endoscopic and radiographic surveillance postoperatively. A concise review of the indications, procedural steps, and complications will be presented. An illustrative example with be shown and potential points of difficulty during the procedure will be addressed.

Key words

transseptal frontal sinusotomy - frontal sinus surgery - Draf III - modified Lothrop - frontal sinusitis
 
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  • 2 Lanza DC, McLaughlin Jr RB, Hwang PH. The five year experience with endoscopic trans-septal frontal sinusotomy.. Otolaryngol Clin North Am 2001; 34 (1) 139-152 PubMed
    PubMedSearch in Google Scholar